AAOS17 Tag

10 Apr

Posted at 16:01h in Author Interviews, NYU/NYMC, Orthopedics, Pediatrics, Radiology
MedicalResearch.com Interview with: Ayesha Rahman, MD Chief Orthopaedic Surgery Resident NYU Langone Medical Center. MedicalResearch.com: What is the background for this study? What are the main findings? Response: Children are more vulnerable and susceptible to lifetime adverse events from radiation exposure, caused by imaging . We reviewed literature and found certain pediatric orthopaedic patients are at greater risk for radiation exposure, namely those who have surgery for hip dysplasia, scoliosis, and leg length discrepancy, as they are among those most likely to undergo CT imaging. After reviewing all types of imaging studies performed in orthopedics and how much radiation is involved in each test, we developed several recommendations that pediatric orthopaedic surgeons should follow. Among those recommendations are: utilize low-dose CT protocols or technology that uses less imaging (like EOS), limit CT scans of the spine and pelvis, know that female patients are more susceptible to adverse risk and plan accordingly, and follow the the “as low as reasonably achievable,”principle to limit exposure to parts of the body that are necessary for diagnosis.

20 Mar

Posted at 18:24h in Author Interviews, Orthopedics
MedicalResearch.com Interview with: [caption id="attachment_33141" align="alignleft" width="100"]Patients Can Expect To Return To Normal Function Relatively Quickly After Knee Arthroscopy MedicalResearch.com Interview with: Alexis Colvin, MD Associate Professor, Orthopaedics Icahn School of Medicine at Mount Sinai James N. Gladstone, MD Co-Chief, Sports Medicine Service, The Mount Sinai Hospital Associate Professor, Orthopaedics, Icahn School of Medicine at Mount Sinai MedicalResearch.com: What is the background for this study? Response: Knee arthroscopy is one of the most commonly performed procedures in the U.S. There is minimal literature on when patients can expect to return to daily activity. We sought to help patients understand when they could expect to return to a number of basic activities, specifically in an urban environment where patients need to be mobile early. MedicalResearch.com: What are the main findings? Response: Our findings included: • Patients are off narcotics within 7 days, • Patients stop use of a cane/crutches at 8 days • Patients can drive after 14 days • Patients can go up subway stairs at 20 days • Patients sit on a toilet comfortably at 14 days • Patients return to work at 15 days MedicalResearch.com: What should readers take away from your report? Response: Patients can expect to return to relatively normal function within a short amount of time. MedicalResearch.com: What recommendations do you have for future research as a result of this study? Response: We will also be looking at what other factors, such as age, BMI, medical co-morbidities, etc. can also influence how fast patients recover from this very common surgery. MedicalResearch.com: Is there anything else you would like to add? Response: MedicalResearch.com: Thank you for your contribution to the MedicalResearch.com community. Citation: 2017 AAOS abstract Return to Daily Life After Meniscectomy Alexis C. Colvin, MD, New York, NY James Dieterich, BA, New York, NY James N. Gladstone, MD, New York, NY Diana Patterson, MD, New York, NY Arthroscopic meniscectomy is a frequently performed procedure, but minimal guidelines exist for counseling patients on functionality during the recovery period or time to return to daily activities. http://www.aaos.org/uploadedFiles/2017%20Final%20Program_compressed.pdf Note: Content is Not intended as medical advice. Please consult your health care provider regarding your specific medical condition and questions. More Medical Research Interviews on MedicalResearch.com Dr. Colvin[/caption] Alexis Colvin, MD Associate Professor, Orthopaedics Icahn School of Medicine at Mount Sinai [caption id="attachment_33142" align="alignleft" width="100"]James N. Gladstone, MD Co-Chief, Sports Medicine Service, The Mount Sinai Hospital Associate Professor, Orthopaedics, Icahn School of Medicine at Mount Sinai Dr. Gladstone[/caption] James N. Gladstone, MD Co-Chief, Sports Medicine Service, The Mount Sinai Hospital Associate Professor, Orthopaedics, Icahn School of Medicine at Mount Sinai MedicalResearch.com: What is the background for this study? Response: Knee arthroscopy is one of the most commonly performed procedures in the U.S. There is minimal literature on when patients can expect to return to daily activity. We sought to help patients understand when they could expect to return to a number of basic activities, specifically in an urban environment where patients need to be mobile early.

19 Mar

Posted at 17:28h in Author Interviews, Orthopedics
MedicalResearch.com Interview with: [caption id="attachment_32956" align="alignleft" width="130"]Michael Hausman, MD Chief, Hand and Upper Extremity Surgery, Mount Sinai Health System; Professor, Orthopaedics, Icahn School of Medicine at Mount Sinai Dr. Michael Hausman[/caption] Michael Hausman, MD Chief, Hand and Upper Extremity Surgery Mount Sinai Health System Professor, Orthopaedics Icahn School of Medicine at Mount Sinai MedicalResearch.com: What is the background for this study? What are the main findings? Response: Lateral epicondylitis has traditionally been thought of as a tendon problem, but tendon pathology has not been well documented. Our study supports our hypothesis that the problem lies within the elbow joint, rather than in the tendon outside the joint.

17 Mar

Posted at 12:00h in Author Interviews, Orthopedics, Outcomes & Safety
MedicalResearch.com Interview with: [caption id="attachment_33051" align="alignleft" width="130"]Brad Parsons, MD Associate Professor, Orthopaedics Icahn School of Medicine at Mount Sinai Dr. Parsons[/caption] Brad Parsons, MD Associate Professor, Orthopaedics Icahn School of Medicine at Mount Sinai MedicalResearch.com: What is the background for this study? What are the main findings? Response: As bundled payment initiatives increase in order to contain health care costs, total shoulder arthroplasty (TSA) is a likely future target. Understanding modifiable drivers of complications and unplanned readmission as well as identifying when such events occur will be critical for orthopedic surgeons and hospitals to improve outcomes and to make fixed-price payment models feasible for TSA. Utilizing the American College of Surgeons National Surgical Quality Improvement Program we identified 5801 patients that underwent TSA with a 2.7% readmission rate and 2.5% severe adverse event rate. Patients with 3 or more risk factors were found to have a significantly increased risk of readmission and severe adverse events within the first two weeks postoperatively.

16 Mar

Posted at 23:01h in Author Interviews, Orthopedics
MedicalResearch.com Interview with: [caption id="attachment_32879" align="alignleft" width="155"]Alexander S. McLawhorn, MD, MBA Orthopedic Surgery, Hip and Knee Replacement Hospital for Special Surgery New York, NY 10021 Dr. McLawhorn[/caption] Alexander S. McLawhorn, MD, MBA Orthopedic Surgery, Hip and Knee Replacement Hospital for Special Surgery New York, NY 10021 MedicalResearch.com: What is the background for this study? What are the main findings? Response: Hospital for Special Surgery (HSS) researchers saw the need for a shorter, more patient friendly outcome survey for revision knee replacement surgery. This is an area where patient-reported outcomes data are essential to improving quality of care. In fact, knee replacement revisions, which are more complex and heterogeneous than primary knee surgery, are under-studied in this regard. A commonly used knee replacement survey, the KOOS (Knee Injury and Osteoarthritis Outcome Score), is 42 questions and often leaves physicians with partial and unusable information secondary to patient burden and fatigue. Previously, researchers at HSS created the KOOS, JR, which is a shorter, 7-question survey that accurately measures “knee health”, meaning it reflects aspects of pain, symptom severity, and activities of daily living relevant and difficult for patients with knee arthritis. The current research presented at AAOS showed that the KOOS, JR can be extended to knee replacement revision patients and that it is a valid and efficient tool for assessing knee health in this challenging patient population.

16 Mar

Posted at 22:35h in Author Interviews, NYU/NYMC, Orthopedics
MedicalResearch.com Interview with: [caption id="attachment_33024" align="alignleft" width="200"]Dr Aaron J. Buckland Spinal and scoliosis surgeon and assistant professor Orthopedic surgery NYU Langone Medical Center Dr. Aaron Buckland[/caption] Dr Aaron J. Buckland Spinal and scoliosis surgeon and Assistant professor Orthopedic surgery NYU Langone Medical Center MedicalResearch.com: What is the background for this study? Response: For decades, surgeons performing hip replacements have placed the acetabular component adjacent to the pelvis in a “safe zone” which has been shown to reduce dislocation risk. However, beginning in residency, I would notice that several of my patients with spinal deformities or lumbar fusions, would experience dislocations despite the safe zone placement of these implants. Our initial research demonstrated that there was an increased dislocation risk in patients with lumbar fusions, particularly if they underwent spinal realignment. We investigated this phenomenon further by retrospectively reviewing 107 patients who met the criteria for sagittal spinal deformity, including 139 hip replacements collectively.

16 Mar

Posted at 00:41h in Author Interviews, Brain Injury, Exercise - Fitness, Gender Differences, Mental Health Research
MedicalResearch.com Interview with: [caption id="attachment_32985" align="alignleft" width="127"]Wellington K. Hsu, MD Clifford C. Raisbeck, MD, Professor of Orthopaedic Surgery Associate Professor of Orthopaedic Surgery Northwestern University Chicago, IL Dr. Hsu[/caption] Wellington K. Hsu, MD Clifford C. Raisbeck, MD, Professor of Orthopaedic Surgery Associate Professor of Orthopaedic Surgery Northwestern University Chicago, IL MedicalResearch.com: What is the background for this study? What are the main findings? Response: Concussions remains a significant problem in youth sports. The recent enactment of Traumatic brain injury laws have certainly heightened awareness regarding this problem. Our study looked at publicly available data regarding diagnosis of concussion in high school athletes. We found that females are more likely to be diagnosed with a concussion than males. We also concluded that girl soccer players and boys football players are at highest risk for a diagnosis of concussion. Since the neck meant of the Traumatic brain injury state laws, the diagnosis of concussion in this patient group increased significantly past decade.

15 Mar

Posted at 21:27h in Author Interviews, General Medicine, Orthopedics
MedicalResearch.com Interview with: [caption id="attachment_32959" align="alignleft" width="130"]Darwin Chen, MD Assistant Professor, Orthopaedics Icahn School of Medicine at Mount Sinai Dr. Darwin Chen[/caption] Darwin Chen, MD Assistant Professor, Orthopaedics Icahn School of Medicine at Mount Sinai MedicalResearch.com: What is the background for this study? Response: Total hip and knee replacement surgery are among the most commonly performed orthopaedic procedures today. Although success rates are high, complications can occur and some may be preventable. The goal of our research was to assess the impact of gender on complications within the first 30 days after hip and knee replacement.